Exploring provider perspectives on respectful maternity care in Kenya: “Work with what you have”

Ndwiga, Charity; Warren, Charlotte E.; Ritter, Julie; Sripad, Pooja; Abuya, Timothy

doi:10.1186/s12978-017-0364-8

Cited by 72 publications

(75 citation statements)

References 35 publications

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“…Designing culturally appropriate interventions to promote RMC will clearly require changes in cultural norms, particularly in settings where the mistreatment of women arises from existing social norms and is regarded as acceptable. Studies show that the participatory process and sustained engagement around promoting RMC can contribute to changes in health‐facility culture …”

Section: Discussionmentioning

confidence: 99%

Respectful care during childbirth in health facilities globally: a qualitative evidence synthesis

Shakibazadeh

Namadian

Bohren

et al. 2017

BJOG

265

248

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BackgroundWhat constitutes respectful maternity care (RMC) operationally in research and programme implementation is often variable.ObjectivesTo develop a conceptualisation of RMC.Search strategyKey databases, including PubMed, CINAHL, EMBASE, Global Health Library, grey literature, and reference lists of relevant studies.Selection criteriaPrimary qualitative studies focusing on care occurring during labour, childbirth, and/or immediately postpartum in health facilities, without any restrictions on locations or publication date.Data collection and analysisA combined inductive and deductive approach was used to synthesise the data; the GRADE CERQual approach was used to assess the level of confidence in review findings.Main resultsSixty‐seven studies from 32 countries met our inclusion criteria. Twelve domains of RMC were synthesised: being free from harm and mistreatment; maintaining privacy and confidentiality; preserving women's dignity; prospective provision of information and seeking of informed consent; ensuring continuous access to family and community support; enhancing quality of physical environment and resources; providing equitable maternity care; engaging with effective communication; respecting women's choices that strengthen their capabilities to give birth; availability of competent and motivated human resources; provision of efficient and effective care; and continuity of care. Globally, women's perspectives of what constitutes RMC are quite consistent.ConclusionsThis review presents an evidence‐based typology of RMC in health facilities globally, and demonstrates that the concept is broader than a reduction of disrespectful care or mistreatment of women during childbirth. Innovative approaches should be developed and tested to integrate RMC as a routine component of quality maternal and newborn care programmes.Tweetable abstractUnderstanding respectful maternity care – synthesis of evidence from 67 qualitative studies.

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Section: Discussionmentioning

confidence: 99%

Respectful care during childbirth in health facilities globally: a qualitative evidence synthesis

Shakibazadeh

Namadian

Bohren

et al. 2017

BJOG

265

248

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“…From the laboring women's perspective, an essential component in the improving quality of care and birth satisfaction is providers' respectful behavior. This is becoming a critical indicator of maternal health care [13].…”

Section: Plos Onementioning

confidence: 99%

Midwives’ perspectives of respectful maternity care during childbirth: A qualitative study

et al. 2020

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The adoption of respectful maternity care during labor and birth is a complex process which needs both scientific and interpersonal skills of providers. In this regard, identifying the potential barriers and applying effective strategies for implementing respectful maternity care are essential. This study aimed to explore the perceptions of Iranian midwives regarding respectful maternity care during labor and childbirth. This was a qualitative study which was conducted from September-December 2018 in two non-teaching public hospitals in Tehran, Iran. Twenty-four semi-structured interviews were conducted with midwives, who had more than one year work experience in labor and childbirth units, through a purposive sampling method. A content analysis approach was used to analyze the data and identify themes. Three themes were extracted including "showing empathy", "women-centered care" and "protecting rights". Showing empathy reflects that "establishing a friendly relationship" and "being with women". Women-centered care encompassed "keeping women safe" and "participating in decision making". Protecting rights reflected a need for "safeguarding dignity" as well as "giving equal care" and "preparing appropriate environment". Iranian midwives considered respectful maternity care a broader concept than just preventing mistreatment. Providing supportive care through friendly interaction with women was the first step for providing respectful maternity care. Respectful care is also promoted by providing safe care, implementing evidence-based care and involving women in their care as well as by providing an appropriate environment for women, families and caregivers. OPEN ACCESS Citation: Moridi M, Pazandeh F, Hajian S, Potrata B (2020) Midwives' perspectives of respectful maternity care during childbirth: A qualitative study. PLoS ONE 15(3): e0229941. https://doi.org/ 10.

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“…This is supported with a mapping review and gender analysis study which reports that lack of respect for health care workers and limited training opportunities erode their ability to deliver high quality care (36). Provider emotional health has the potential to drive mistreatment and affect women's care (37).…”

Section: Discussionmentioning

confidence: 92%

Respectful family planning service provision in Sidama zone, Southern Ethiopia

Siyoum

Astatkie

Melese

et al. 2019

Preprint

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Introduction Disrespect and abusive care is a violation of women’s basic human rights and it is serious global problem that needs urgent intervention. In Ethiopia disrespect and abusive care is very common (21-78%) across health facilities. Objective To assess the status of respectful family planning service in Sidama zone, south Ethiopia. Methodology Health facility-based cross-sectional study was conducted from June to August 2018. Data were collected from 920 family planning clients’ recruited from 40 randomly selected health facilities. The Mother on Respect index (MORi) questionnaire was used to collect the data through client exit interview. Partial proportional odds ordinal regression was employed to identify determinants of respectful family planning service. Result The level of respectful family planning service was found to be: Zero (0%) in the very low respect category, 75(18.5%) low respect, 382(41.52%) moderate respect and 463(50.33%) high respect. Being a short acting method client (AOR=0.3, 95%CI [0.12, 0.72]), participants’ level of education (uneducated (AOR=0.39, 95%CI [0.25, 0.61), elementary (AOR=0.41, 95%CI [0.23, 0.73]), low income(AOR=0.75, 95%CI [0.56, 0.99]), long waiting time (AOR=0.46, 95%CI [0.30, 0.69]), were negatively associated with moderate and high respect compared to low respect. Preference of male service providers (AOR=2, 95%CI [1.1, 3.8]), service providers’ work satisfaction (AOR=1.55, 95%CI [1.13, 2.14]) and health workers’ prior training on respectful care (AOR=8.75, 95%CI [4.61, 16.61]) were positively associated. Being a client of short acting contraceptives (AOR=2.1, 95%CI [1.42, 3.12]), preference of male service providers (AOR=0.55, 95%CI [0.4, 0.76]) and health workers’ prior training on respectful care (AOR=3.03, 95%CI [2.24, 4.1]) had significant association with high respect compared to low and moderate respect. Conclusion Considering the current strategy of zero tolerance for disrespect in Ethiopia, the level of respectful care in this study is sub-optimal. We recommend community awareness and short term training for service providers.

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Exploring provider perspectives on respectful maternity care in Kenya: “Work with what you have”

Cited by 72 publications

References 35 publications

Respectful care during childbirth in health facilities globally: a qualitative evidence synthesis

Respectful care during childbirth in health facilities globally: a qualitative evidence synthesis

Midwives’ perspectives of respectful maternity care during childbirth: A qualitative study

Respectful family planning service provision in Sidama zone, Southern Ethiopia

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